In a future scenario with implemented standard processes and clinical pathways is there any space left for the individual? Quality index, cost control, effectiveness and a common information model and structure - do these hinder individuals’ initiative and creativity?

Today most information is accessed from a variety of “siloed” and disparate systems. The evolution points out standards have a greater impact now and a lot of good work is being done on interoperability.
In an environment with several hospitals and primary care units etc. with the same owner, public or private, the issue of common enterprise-wide data is becoming more important. Other sectors like Finance, Telecom and Retail have already experience of this, Master Data Management.

What is Master Data? A way of describing it could be:

• Enterprise-wide data and facts describing key business entities
• Prerequisite for SOA
• A way to provide consistent, comprehensive core information across an enterprise
• Is captured once, on time, accurately, completely, correctly and consistently thus enabling master data quality
• Is stored in a way that guarantees integrity and a single place of reference
• Is made available to those who need it, whenever they need it, both internally and externally.

Results could be:
Effectiveness

• better information and leads to improved decision making

Efficiency

• Reduced time required for data cleansing
• Reduced time for data alignment across applications
• Reduce analyst time preparing and delivering reports

Standardization

• Multiple hierarchies can be managed efficiently
• New projects ramp up faster
• Time for data modifications is faster

Master Data could be one of the tools of combining standardized frameworks with individual creativity. Of course doctors must be like “pilots” but in some situations the “artist” must be allowed. An small example is using custom procedure trays and kits. A surgeon can chose individual trays within a Master Data frame.